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In an interview outside the Health and Human Services building in Washington, D.C., on Monday, the surgeon general said the pandemic still isn’t under control in the U.S., but he’s “very hopeful” that the collective actions of Americans are flattening the curve of the outbreak.

“I won’t say we have it under control until we start to see death rates go down, hospitalizations go down and when cases start to go down,” Adams said.

He re-stressed the CDC guidance that people need to wash their hands, stay six feet apart, and avoid nonessential travel. And as for the new guidance about wearing masks in public spaces, he says there’s good reason it didn’t come until now.

“There is a very real chance that if more people had worn masks, it could have slowed the spread some. But there’s also a very real chance that it would have put more healthcare providers in a situation where they didn’t have that equipment. And so we are just always adapting our guidance based on what we know now.”